Individual
MR. CHARLES EDWARD LIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
Mailing address
3 N HILL DR, EAST NORTHPORT, NY 11731-2016
(631) 757-3605
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0299231
NY
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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